Northeastern Utah Medical Group
A Medicare group practice based in Vernal, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2961496609), with 90 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2961496609
- Provider type
- DME Supplier - Physician - General Surgery, Part B Supplier - Clinic/Group Practice
- Enrolled in
- UT
- Enrollments
- 2
- Group size
- 52 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 13
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100930019874 | UT | DME Supplier - Physician - General Surgery | 1740482009 |
| O20040414000471 | UT | Part B Supplier - Clinic/Group Practice | 1982664199 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northeastern Utah Medical Group
- Durable Medical Equipment & Medical Supplies
- Roosevelt, UT
- NPI 1740482009
-
Northeastern Utah Medical Group
- Family Medicine Physician
- Roosevelt, UT
- NPI 1982664199
Practice locations
- Vernal, UT6
- Roosevelt, UT3
- Altamont, UT1
- Tabiona, UT1
- Manila, UT1
- Duchesne, UT1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 89.32 of 100
- Quality
- 71.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Clinicians 90
Clinicians who reassign their Medicare benefits to this group (89) or whom Care Compare lists as members (52).
-
Rodney Anderson, M.D.
- Family Medicine Physician
- Vernal, UT
- NPI 1952495582
-
Stanley Scott Anderson, PA
- Physician Assistant
- Vernal, UT
- NPI 1730894965
-
Bruce F Arnold, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Farmington, MI
- NPI 1164400438
-
Jacob Aaron Barlow
- Nurse Practitioner
- Provo, UT
- NPI 1669002150
-
Heather Larena Bascom, FNP
- Family Nurse Practitioner
- Medford, OR
- NPI 1124660154
-
Kerry Robert Baum Jr., MD
- Surgery Physician
- Roosevelt, UT
- NPI 1093004202
-
Jason S Beales, MD
- Pediatrics Physician
- Roosevelt, UT
- NPI 1891755872
-
Samuel Mark Bertoch, FNP-C
- Nurse Practitioner
- Roosevelt, UT
- NPI 1417525544
-
Kyler Black, M.D.
- Internal Medicine Physician
- Roosevelt, UT
- NPI 1518499268
-
John S Blake, MD
- MOHS-Micrographic Surgery Physician
- Roosevelt, UT
- NPI 1508826587
-
Christian Boekweg, DO
- Family Medicine Physician
- Roosevelt, UT
- NPI 1144806894
-
Tanya Sarah Boren, FNP
- Family Nurse Practitioner
- Roosevelt, UT
- NPI 1154974657
-
Karl Breitenbach, M.D.
- Family Medicine Physician
- Vernal, UT
- NPI 1457447906
-
Angala Dee Bryson
- Nurse Practitioner
- Roosevelt, UT
- NPI 1831773449
-
Thomas Maurice Buchanan, M.D.
- Neurology Physician
- Salt Lake City, UT
- NPI 1710162227
-
Casey Curtis Carter
- Physician Assistant
- Roosevelt, UT
- NPI 1225406077
-
Michaela J Curry, FNP-C
- Nurse Practitioner
- Duchesne, UT
- NPI 1639796246
-
Gregory J Danowski
- Physician Assistant
- Murray, UT
- NPI 1366094617
-
Cory Joseph Edwards, MD
- Family Medicine Physician
- Lynchburg, VA
- NPI 1053935114
-
Landon Mitchel Favero
- Physician Assistant
- Boise, ID
- NPI 1801363577
-
Brian Kowallis Gardner, DPM
- Foot & Ankle Surgery Podiatrist
- Roosevelt, UT
- NPI 1396943825
-
Robert Eric Gilbert, PA
- Physician Assistant
- Roosevelt, UT
- NPI 1922659762
-
Gary F Graham, MD
- Family Medicine Physician
- Roosevelt, UT
- NPI 1811910359
-
Whitney Gurr, APRN
- Nurse Practitioner
- Roosevelt, UT
- NPI 1841027307
-
Cameron Phillip Hardy, P.A.C
- Physician Assistant
- Vernal, UT
- NPI 1912274432
-
Derrick Haslem, MD
- Hematology & Oncology Physician
- St George, UT
- NPI 1730389701
-
Mark E Henderson, DO
- Family Medicine Physician
- Lincoln, NE
- NPI 1760902498
-
Chelsea Ann Hoopes, DNP, APRN, FNP-C
- Nurse Practitioner
- Salt Lake City, UT
- NPI 1730763335
-
Megan Hopkins, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Murray, UT
- NPI 1255067757
-
Jacqueline Marie Humpherys, RD
- Registered Dietitian
- Pinetop, AZ
- NPI 1447400437
-
Bradley F Jenkins, FNP
- Nurse Practitioner
- Roosevelt, UT
- NPI 1912968538
-
Richard Arden Johnson, D.O.
- Medical Oncology Physician
- Logan, UT
- NPI 1124253166
-
Shalese Marie Killian, FNP-C
- Family Nurse Practitioner
- Roosevelt, UT
- NPI 1346875325
-
Tak Ming Ko, MD
- Surgery Physician
- Palmer, AK
- NPI 1003995713
-
Brett C Larsen, PA
- Physician Assistant
- Roosevelt, UT
- NPI 1639367337
-
Mark Andrew Lewis, M.D.
- Hematology & Oncology Physician
- Murray, UT
- NPI 1801051578
-
John David Marett, MD
- Family Medicine Physician
- Roosevelt, UT
- NPI 1821559519
-
Darwin L McKee, P.A.-C
- Physician Assistant
- Roosevelt, UT
- NPI 1023079910
-
Matthew David McKee, DO
- Sleep Medicine (Family Medicine) Physician
- Roosevelt, UT
- NPI 1891149621
-
Nikil Moodabagil, M.D., M.P.H.
- Hematology (Internal Medicine) Physician
- Ogden, UT
- NPI 1477971232
-
Lawrence Lynn Morrill, DO
- Family Medicine Physician
- Roosevelt, UT
- NPI 1497715593
-
Robert Nielson
- Family Nurse Practitioner
- Roosevelt, UT
- NPI 1194413633
-
John D Nolte, MD
- Obstetrics & Gynecology Physician
- Roosevelt, UT
- NPI 1194786095
-
Amy Olsen, FNP
- Family Nurse Practitioner
- Vernal, UT
- NPI 1598991275
-
Gordon S Olsen, DOPC
- Orthopaedic Surgery Physician
- Heber City, UT
- NPI 1235237744
-
Michael Olsen, M.D.
- Family Medicine Physician
- Vernal, UT
- NPI 1356437891
-
Bryce S Pace
- Physician Assistant
- Roosevelt, UT
- NPI 1124542873
-
Penny Jean Peacock, M.D.
- Internal Medicine Physician
- Park City, UT
- NPI 1902864762
-
Steve Edwin Pehrson, M.D.
- Family Medicine Physician
- Fort Duchesne, UT
- NPI 1164531968
-
Nathan Robert Peterson, M.D.
- Hematology & Oncology Physician
- Provo, UT
- NPI 1194135350
-
Derek Potter, P.A.
- Physician Assistant
- Vernal, UT
- NPI 1679906481
-
James Lamoyne Potter, DO
- Anesthesiology Physician
- Roosevelt, UT
- NPI 1477942159
-
Shane K Powell, MD
- Ophthalmology Physician
- Roosevelt, UT
- NPI 1750342655
-
Shakaib S Qureshi, MD
- Rheumatology Physician
- Wilmington, DE
- NPI 1821063108
-
Benjamin H Reece, PA
- Physician Assistant
- Roosevelt, UT
- NPI 1336740505
-
Zachary Lawrence Reese, M.D.
- Hematology & Oncology Physician
- St George, UT
- NPI 1871735340
-
Kinsey Reynolds, MS, PA-C
- Physician Assistant
- Vernal, UT
- NPI 1376017657
-
Terence Rhodes, M.D.
- Hematology & Oncology Physician
- Cedar City, UT
- NPI 1124236310
-
Robert Lamar Rice, M.D.
- Hematology & Oncology Physician
- Finksburg, MD
- NPI 1699720136
-
Alec Higgins Rimmasch Jr., NP-C
- Family Nurse Practitioner
- Vernal, UT
- NPI 1013346634
-
David W. Ririe, M.D.
- Hematology & Oncology Physician
- Provo, UT
- NPI 1952307605
-
Kristopher Scott Riser, FNP
- Family Nurse Practitioner
- Roosevelt, UT
- NPI 1972855088
-
Annemarie Rousseau, APRN
- Family Nurse Practitioner
- Vernal, UT
- NPI 1477075315
-
Erik Johnston Rupard, MD
- Hematology & Oncology Physician
- Hershey, PA
- NPI 1437211299
-
Sandra Dollene Rust, A.P.R.N.
- Family Nurse Practitioner
- Vernal, UT
- NPI 1992251268
-
Spencer F. Schuenman, D.O.
- Orthopaedic Surgery Physician
- Lehi, UT
- NPI 1467484857
-
Clark K Sessions, PA-C
- Physician Assistant
- Roosevelt, UT
- NPI 1407165293
-
Daniel Reid Sims, D.O.
- Hematology & Oncology Physician
- Provo, UT
- NPI 1669836532
-
Dallas Michael Smuin, MD
- Orthopaedic Surgery Physician
- Roosevelt, UT
- NPI 1659862555
-
Nichole Sorensen, FNP
- Family Nurse Practitioner
- Roosevelt, UT
- NPI 1912711870
-
Gregory L Staker, MD
- Pediatrics Physician
- Roosevelt, UT
- NPI 1275593717
-
Albert Simon Stone, PA-C
- Physician Assistant
- Roosevelt, UT
- NPI 1659852150
-
Khurram Bilal Tariq, M.D.
- Hematology & Oncology Physician
- Boone, NC
- NPI 1144586181
-
David Mathis Thayn
- Hospitalist Physician
- Price, UT
- NPI 1386802916
-
Ramya Thota, MBBS
- Hematology & Oncology Physician
- Salt Lake City, UT
- NPI 1154551273
-
Margaret E. M. Van Meter, M.D.
- Hematology & Oncology Physician
- Murray, UT
- NPI 1528231511
-
Michael E Vanbibber, MD
- Urology Physician
- Minot, ND
- NPI 1598851503
-
John Spencer Wells, MD
- Family Medicine Physician
- Roosevelt, UT
- NPI 1831359744
-
Jeffrey Lynn Wheeler, D.O.
- Family Medicine Physician
- Roosevelt, UT
- NPI 1699942987
-
James D White, MD
- Physical Medicine & Rehabilitation Physician
- Roosevelt, UT
- NPI 1316908122
-
Phillip Blaine Whiting, M.D.
- Otolaryngology Physician
- Lone Tree, CO
- NPI 1326337296
-
Ryan Eldredge Wilcox, M.D.
- Hematology & Oncology Physician
- Cedar City, UT
- NPI 1033344767
-
Ben Douglas Williams, MD
- Obstetrics & Gynecology Physician
- Roosevelt, UT
- NPI 1437202280
-
Samuel M. Wilson, DO
- Dermatology Physician
- Roosevelt, UT
- NPI 1477865194
-
Audrie Christine Wisell, FNP
- Family Nurse Practitioner
- Roosevelt, UT
- NPI 1518417054
-
Josie Nicole Wood, PA
- Physician Assistant
- Manila, UT
- NPI 1588367239
-
Kirk Woodward, M.D.
- Family Medicine Physician
- Vernal, UT
- NPI 1811083348
-
Sarah Jane Woody, FNP
- Family Nurse Practitioner
- Vernal, UT
- NPI 1265720205
-
Walter Montgomery Wootton, PA-C
- Physician Assistant
- Vernal, UT
- NPI 1891121661
-
Benjamin Zenger
- Family Medicine Physician
- Roosevelt, UT
- NPI 1861073728
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.